CSF-185 Daily Hazard Assessment

Risk Assessment - Document / Reference Number *

CPCL Works Leader *

First

Last

Project Number *

Site Name/Location and Task Description *

Date / Time *

Date

Time

Permit Number

Client / Customer Name *

Client Contact - Name *

Name of Client

Client Contact - Phone Number

Phone Number of Client

CPCL - Contact Name *

Name of CPCL Project Contact

CPCL - Contact Number

Phone Number of CPCL Project

Local Authority - Contact Details (Police Etc) *

Please provide details of local authorities that may be of assistance during survey works

Local Authority - Contact Number (Police Etc)

Police / Garda / Other Local Authorities

Have the Procedures (SSOW) Hazards and Control measures in your Risk Assessment remained the same? *

SSOW = Safe System of Work

This section requires you to identify any hazards that have changed since the Risk Assessment was completed.

General Hazards

General Hazards - Additional Controls Only

Please detail how you have reduced any identified risks using Control Measures